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The patient has been experiencing fever for three days. On examination, the patient has an increased body temperature above normal range at 39.5°C. The body is warm to touch and the skin is red, especially in the infected area. The nursing diagnosis is increased body temperature (hyperthermia) related to the effects of toxins produced by Clostridium tetani bacteria. Nursing interventions include monitoring vital signs, providing adequate hydration and wound care using aseptic techniques, and applying cold c

Author

bjhilario

Language

EN